Charity care in North Carolina

The NC Health Care Coalition, part of the NC Justice Center, released a report today on charity care in the state’s hospitals. The executive summary is at http://www.ncjustice.org/?q=node/446, and that page has a link to the full report.

In fiscal year 2008, the state’s hospitals provided almost $700 million in free care.

That’s good news for our statye, which is particularly hard-hit by the recession. The unemployment rate is still over 10 percent, and many, many unemployed people lost their health insurance with their jobs.

Because the state has shed thousands of jobs, North Carolina had the nation’s largest jump in the percentage of the population without insurance from 2007 to 2009. According to one estimate the recession has increased the number of uninsured in North Carolina to nearly 1.8 million,” the report says.

The report calls on the state’s 112 hospitals to  post comprehensive charity care policies online — 39 hospitals already to, and 72 hospitals in all post some information.

“An examination of posted charity care policies shows that financial assistance programs vary widely across he state,” the report says. “We can see that Winston-Salem- and Charlotte-based Novant Health has the most sound and clear policy of any hospital system in North Carolina. At Novant any uninsured patient with an income less than 300 percent of the federal poverty level, or $66,150 for a family of four, qualifies for a 100 percent discount on hospital bills. This policy recognizes the realities of modern family finances.”

But, the report says, no hospital should put isself in danger of bankruptcy with its policies.

In other words, hopsitals are doing a lot to get care to people who need it, but the need is too great for hospitals to do it all.

We need reform and we need it now.

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